Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Ashley Moore, LAC

Individual provider Driver · NPI 1790568079

Kayla Ashley Moore, LAC is a Mental Health Counselor in Fort Collins, Colorado. Qualified in 2022, 4 years ago. Practices with Summitstone Health Partners, a 113-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2023
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone: (970) 494-4200
Fax: (844) 270-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence ACD.0002622 (CO)
Driver Taxonomy 172A00000X

Record details

NPI number1790568079
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summitstone Health Partners — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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